Individual provider Active NPI

Kyle Grundmeyer, D.C.

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1194079244
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007582 Issued in IA
Practice address
103 E 1St St
Ankeny, IA 50021-1727
Phone
(515) 965-2344
Fax
(515) 965-2269
NPI assigned
Oct 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007582 IA Primary

Addresses

Primary practice location

103 E 1St St
Ankeny, IA 50021-1727

Mailing address

103 E 1St St
Ankeny, IA 50021-1727
Phone (515) 965-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000354 IA Practitioner - Chiropractic 4688829302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 E 1St St
Ankeny, IA 50021-1727
Phone (515) 965-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Clinic PC Chiropractor CurrentSince Nov 20, 2012 Accepting new patients

Locations

103 E 1st St
Ankeny, IA 50021
Phone (515) 965-2344

107 NE Delaware Ave
Ste 3
Ankeny, IA 50021
Phone (515) 416-4245

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1194079244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211727",
            "telephone_number": "515-965-2344",
            "fax_number": "515-965-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211727",
            "telephone_number": "515-965-2344",
            "fax_number": "515-965-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDMEYER",
        "first_name": "KYLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-27",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.